Anderson, Douglas John

Anderson, Douglas John is an sole proprietor health care provider with primary practice located at 500 5Th Ave Suite 923, New York NY 10110-0002. He recently has only one registered license in Behavioral Health & Social Service Providers / Prescribing (Medical), which is considered as his primary health care specialty. Anderson, Douglas John can be contacted via phone (212) 764-9083.

Contact Information

Primary practice address
500 5Th Ave Suite 923 New York NY 10110-0002
Fax: (212) 764-0306
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X 108132 New York

Profile Details

NPI number 1497954572
LBN Legal business name Anderson, Douglas John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2007
Last updated Jul 17th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497954572 NPPES
New York Other 34H221 EMPIRE BLUE CROSS & BLUE

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